Infection Exposure Questions
- This topic includes information about transmission of common infections. How long to stay out of school or child care is covered.
- Incubation Period. Time it takes to start having symptoms after contact with infection.
- Contagious Period. Time during which a sick child's disease can spread to others. Sometimes, children can return to school before this period is over.
- Infections that cannot be spread to others. Many common bacterial infections are not spread to others. Examples are ear, sinus, bladder, or kidney infections. Pneumonia also cannot be passed to others. Sexually transmitted diseases are usually not spread to children. But, they can be spread if there is sexual contact or shared bathing.
Infection Exposure Table
|Chickenpox||10-21||2 days before rash until all sores have crusts (6 - 7days)|
|Fifth disease (Erythema infectiosum)||4-14||7 days before rash until rash begins|
|Hand, foot, and mouth disease||3-6||Onset of rash until fever gone. If widespread blisters, return after blisters are dry (6-7 days).|
|Impetigo (strep or staph)||2-5||Onset of sores until 24 hours on antibiotic|
|Lice||7||Onset of itch until 1 treatment|
|Measles||8-12||4 days before rash until 4 days after rash appears|
|Roseola||9-10||Onset of fever until rash gone (2 days)|
|Rubella (German measles)||14-21||7 days before rash until 5 days after rash appears|
|Scabies||30-45||Onset of rash until 1 treatment|
|Scarlet fever||3-6||Onset of fever or rash until 24 hours on antibiotic|
|Shingles (contagious for chicken pox)||14-16||Onset of rash until all sores have crusts (7 days) (Note: No need to isolate if sores can be kept covered.)|
|Bronchiolitis||4-6||Onset of cough until 7 days|
|Colds||2-5||Onset of runny nose until fever gone|
|Cold sores (herpes)||2-12||Footnote 1|
|Coughs (viral) or croup (viral)||2-5||Onset of cough until fever gone|
|Diphtheria||2-5||Onset of sore throat until 4 days on antibiotic|
|Influenza||1-2||Onset of symptoms until fever gone|
|Sore throat, strep||2-5||Onset of sore throat until 24 hours on antibiotic|
|Sore throat, viral||2-5||Onset of sore throat until fever gone|
|Tuberculosis||6-24 months||Until 2 weeks on drugs (Note: Most childhood TB is not contagious.)|
|Whooping cough||7-10||Onset of runny nose until 5 days on antibiotic|
|Diarrhea, bacterial||1-5||Footnote 2 for Diarrhea Precautions|
|Diarrhea, giardia||7-28||Footnote 2 for Diarrhea Precautions|
|Diarrhea, traveler's||1-6||Footnote 2 for Diarrhea Precautions|
|Diarrhea, viral (Rotavirus)||1-3||Footnote 2 for Diarrhea Precautions|
|Hepatitis A||14-50||2 weeks before jaundice begins until jaundice resolved (7 days)|
|Pinworms||21-28||Minimally contagious, staying home is unnecessary|
|Vomiting, viral||2-5||Until vomiting stops|
|Infectious mononucleosis||30-50||Onset of fever until fever gone (7 days)|
|Meningitis, bacterial||2-10||7 days before symptoms until 24 hours on IV antibiotics in hospital|
|Meningitis, viral||3-6||Onset of symptoms and for 1-2 weeks|
|Mumps||12-25||5 days before swelling until swelling gone (7 days)|
|Pinkeye without pus (viral)||1-5||Mild infection, staying home is unnecessary|
|Pinkeye with pus (bacterial)||2-7||Onset of pus until 1 day on antibiotic eyedrops|
Cold sores: Less than 6 years old, contagious until cold sores are dry (4-5 days). No isolation if sores are on part of body that can be covered. More than 6 years old, no isolation necessary if beyond touching, picking stage.
Diarrhea Precautions: Contagious until stools are formed. Stay home until fever is gone, diarrhea is mild, blood and mucus are gone, and toilet-trained child has control over loose stools. Shigella and E-coli 0157 require extra precautions. Consult your child care provider regarding attendance restrictions.
Last Reviewed: 12/15/2018
Last Revised: 03/31/2018
Copyright 2000-2018 Schmitt Pediatric Guidelines LLC.